HALE NANI REHABILITATION AND NURSING CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Hale Nani Rehabilitation and Nursing Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

HALE NANI REHABILITATION AND NURSING CENTER
1677 PENSACOLA STREET
HONOLULU, HI 96822
(808) 537-3371

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

95%

Number of Residents and Certified Beds

  • Residents: 275
  • Certified Beds: 288

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Kaneohe | Pearl City | Ewa Beach

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Hale Nani Rehabilitation and Nursing Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-168.1%
ADL Index Range: 6-1055.8%
ADL Index Range: 0-55.1%
Total Percent:68.9%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-165.5%
ADL Index Range: 6-109.6%
ADL Index Range: 0-51.3%
Total Percent:16.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.0%
ADL Index Range: 6-105.5%
ADL Index Range: 0-50.3%
Total Percent:6.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.3%
ADL Index Range: 6-101.5%
Total Percent:3.8%
 

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
ADL Index Range: 11-160.05%
Total Percent:0.05%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 6-10
- No Signs of depression
0.1%
Total Percent:0.1%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
0.5%
ADL Index Range: 11-14
- No Signs of depression
0.4%
Total Percent:1.0%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- Signs of depression
0.5%
ADL Index Range: 11-14
- No Signs of depression
0.4%
ADL Index Range: 6-10
- No Signs of depression
1.3%
Total Percent:2.2%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 15-16
- Less restorative nursing
0.2%
ADL Index Range: 11-14
- Less restorative nursing
0.4%
ADL Index Range: 6-10
- Less restorative nursing
0.05%
Total Percent:0.6%
 

Rating Details For Hale Nani Rehabilitation and Nursing Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours1 Hour and 4 Minutes1 Hour and 8 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours15 Minutes42 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 49 Minutes2 Hours and 36 Minutes
Total Licensed Nurse Hours1 Hour and 19 Minutes1 Hour and 50 Minutes
Total Nurse Hours4 Hours and 8 Minutes4 Hours and 25 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Hawaii are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityHawaii Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious11%12%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased21%11%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder73%63%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair13%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%3%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse12%12%
Percent of Long-Stay Residents Who Were Physically Restrained3%6%
Percent of Long-Stay Residents Who Lose Too Much Weight8%7%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores3%7%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection4%6%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season82%87%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination69%85%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain11%18%
Percent of Short-Stay Residents Who Have Delirium1%2%
Percent of Short-Stay Residents Who Have Pressure Sores16%10%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 11/16/2009.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/23/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 11/15/2007
  • Correction Date: 01/24/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/15/2007
  • Correction Date: 01/24/2008
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public.
  • Inspection Date: 11/15/2007
  • Correction Date: 01/24/2008
Keep Sound Levels Comfortable.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/23/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/23/2009
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/23/2009
Provide Rooms That Are Big Enough for Each Resident.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/23/2009
Provide at Least One Room to Use As a Dining Room and for Activities, That is a Good Size, with Good Lighting, Airflow and Furniture.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/23/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 11/16/2009
  • Correction Date: 01/21/2010
Keep Sound Levels Comfortable.
  • Inspection Date: 11/16/2009
  • Correction Date: 01/21/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/16/2009
  • Correction Date: 01/21/2010
Provide Enough Emergency Electricity.
  • Inspection Date: 11/16/2009
  • Correction Date: 01/21/2010
Provide Rooms That Are Big Enough for Each Resident.
  • Inspection Date: 11/16/2009
  • Correction Date: 01/21/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 11/15/2007
  • Correction Date: 01/24/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 11/15/2007
  • Correction Date: 01/24/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/23/2009
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/23/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 11/16/2009
  • Correction Date: 01/21/2010
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 11/16/2009
  • Correction Date: 01/21/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 11/15/2007
  • Correction Date: 01/24/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/23/2009

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 11/15/2007
  • Correction Date: 01/24/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 11/15/2007
  • Correction Date: 01/24/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 11/15/2007
  • Correction Date: 01/24/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 11/15/2007
  • Correction Date: 01/24/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/23/2009
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/23/2009
Make Sure That Each Resident Gets Help to Keep Vision and Hearing.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/23/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/23/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/23/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 11/16/2009
  • Correction Date: 01/21/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 11/16/2009
  • Correction Date: 01/21/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 11/16/2009
  • Correction Date: 01/21/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 11/16/2009
  • Correction Date: 01/21/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 11/15/2007
  • Correction Date: 01/24/2008
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 11/15/2007
  • Correction Date: 01/24/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/23/2009
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/23/2009
Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/23/2009

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 11/15/2007
  • Correction Date: 01/24/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 11/15/2007
  • Correction Date: 01/24/2008
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 11/15/2007
  • Correction Date: 01/24/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/23/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/23/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 11/16/2009
  • Correction Date: 01/21/2010
Provide Enough Notice Before Discharging or Transferring a Resident.
  • Inspection Date: 11/16/2009
  • Correction Date: 01/21/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 11/16/2009
  • Correction Date: 01/21/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Hale Nani Rehabilitation and Nursing Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 06/04/2010
  • Correction Date: 08/13/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Complaint Filed: 06/04/2010
  • Correction Date: 08/13/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Hale Nani Rehabilitation and Nursing Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 11/16/2009.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 11/14/2007
  • Correction Date: 01/24/2008

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 12/03/2008
  • Correction Date: 01/23/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 11/14/2007
  • Correction Date: 01/24/2008

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 12/03/2008
  • Correction Date: 01/23/2009
Source: Medicare Nursing Home Compare; Hawaii Department of Health - Retrieved 2011